Development

The nurse is teaching a young-adult couple about promoting the health and psychosocial development of their 8-year-old child. Which information from the parent indicates a correct understanding of the teaching?

"We will provide proper support for learning new skills."

Which question will be most appropriate for a nurse to ask when assessing an adult patient for growth and developmental delays?

"Would you please describe your usual activities during the day?"

Which hormone is responsible for the growth of beard, mustache, and body hair in the males?

Androgen

An 18-month-old patient is brought into the clinic for evaluation because the parent is concerned. The 18-month-old child hits siblings and says only "No" when communicating verbally. Which recommendation by the nurse will be best for this situation?

Assure the mother that the child is developmentally within specified norms.

The child diagnosed with Down syndrome should be evaluated for which characteristic before participating in some sports?

Atlantoaxial instability

Which clinical manifestations should cause the nurse to suspect that a child, diagnosed with a digestive disorder, may be demonstrating signs of failure to thrive?

Avoidance of eye contact.

Prevention of hearing impairment in children is a major goal for the nurse. How can this be best achieved?

Being involved in immunization clinics for children.

A nurse is measuring an infant's head circumference and height. Which area is the nurse assessing?

Biophysical development

In girls, what is the initial indication of puberty?

Breast development

A nurse is teaching parents about appropriate activities for different age groups. Which toy, if selected by the parent of a 12-month-old infant, will indicate a correct understanding of the teaching?

Busy box

Which aspect of cognition develops during adolescence?

Capability to use a future time perspective.

A 9 year old diagnosed with Down syndrome is mainstreamed into a regular third-grade class for part of the school day. His mother asks the school nurse about programs such as Cub Scouts that he might join. The nurse's recommendation should be based on what knowledge?

Children with Down syndrome have the same need for socialization as other children.

What term is used to identify the most common type of hearing loss, which results from interference of transmission of sound to the middle ear?

Conductive

Which assessment finding of an older adult, who has a urinary tract infection, requires an immediate nursing intervention?

Confusion

A nurse is observing skin integrity of an older adult. Which finding will the nurse document as a normal finding?

Decreased elasticity

How should the nurse describe the fact that a 6 month old has 6 teeth?

Earlier-than-normal tooth eruption.

In teaching parents about appropriate pacifier selection, the nurse should explain that a pacifier should have which characteristics? (Select all that apply.)

Easily grasped handle One-piece construction Sturdy, flexible material

A recently widowed older-adult patient is dehydrated and is admitted to the hospital for intravenous fluid replacement. During the evening shift, the patient becomes acutely confused. Which possible reversible causes will the nurse consider when assessing this patient? (Select all that apply.)

Electrolyte imbalance Sensory deprivation Hypoglycemia Drug effects

A nurse is teaching parents about prevention and treatment of colic. Which should the nurse include in the teaching plan?

Eliminate all secondhand smoke contact.

A mother has delivered a healthy newborn. Which action is priority?

Encourage close physical contact as soon as possible after birth.

Which action is contraindicated when a child diagnosed with Down syndrome is hospitalized?

Encourage parents to leave the child alone at night.

15. The nurse is teaching the parents of a 3-year-old child who is at risk for developmental delays. Which instruction will the nurse include in the teaching plan?

Encourage play as your child is exploring the surroundings.

An older-adult patient in no acute distress reports being less able to taste and smell. What is the nurse's best response to this information?

Explain to the patient that diminished senses are normal findings.

Upon assessment of a middle-aged adult, the nurse observes uneven weight bearing and decreased range of joint motion. Which area is priority?

Fall precautions

A nurse is teaching the parents of a school-aged child about accidents most common in this age group. Which topic should the nurse address?

Fires

Which is the most fatal type of burn in the toddler age-group?

Flame burn from playing with matches.

A nurse suspects an older-adult patient is experiencing caregiver neglect. Which assessment findings are consistent with the nurse's suspicions?

Flea bites and lice infestation

According to Piaget, the adolescent is in the fourth stage of cognitive development with a focus on what area?

Formal operations

Parents tell the nurse that their toddler eats little at mealtimes, only sits at the table with the family briefly, and wants snacks "all the time." The nurse should recommend what intervention to the parents?

Give her planned, frequent, and nutritious snacks.

Which assessment findings help confirm a diagnosis of Down syndrome? (Select all that apply.)

High-arched, narrow palate Protruding tongue Transverse palmar crease

According to Erikson, what is the psychosocial task of adolescence?

Identity

A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. What intervention is the most appropriate recommendation?

Ignore the behavior, provided that it is not injurious.

The nurse is discussing sexuality with the parents of an adolescent with moderate cognitive impairment. Which should the nurse consider when dealing with this issue?

Individuals with cognitive impairment need a well-defined, concrete code of sexual conduct.

A parent whose child has been diagnosed with a cognitive deficit should be counseled about what fact related to intellectual impairment?

Is likely caused by a variety of factors.

The nurse is completing a health history with a 16-year-old male. He informs the nurse that he has started using smokeless tobacco after he plays baseball. Which information regarding smokeless tobacco would be most correct for the nurse to provide to this teen?

It has been proven to be carcinogenic.

Which information from the nurse indicates a correct understanding of emerging adulthood?

It is a type of independent exploration.

What is the primary purpose of a transitional object?

It is effective in decreasing anxiety in the toddler.

Which statement accurately describes fragile X syndrome?

It is the second most common genetic cause of cognitive impairment.

An older patient with dementia and confusion is admitted to the nursing unit after hip replacement surgery. Which action will the nurse include in the plan of care?

Keep a routine.

A patient states that she is pregnant and concerned because she does not know what to expect, and she wants her husband to play an active part in the birthing process. Which information should the nurse share with the patient?

Lamaze classes can prepare pregnant women and their partners for what is coming.

The nurse is teaching a class to pregnant women about common physiological changes during pregnancy. Which information should the nurse include in the teaching session?

Late in the pregnancy Braxton Hicks contraction may occur.

A nurse is obtaining a history on an older adult. Which finding will the nurse most typically find?

Lives with a spouse

A nurse is communicating with a newly admitted teenaged patient. Which action should the nurse take?

Look for meaning behind the patient's words and actions.

A nurse is observing for the universal loss in an older-adult patient. What is the nurse assessing?

Loss of relationships through death

A nurse is conducting education classes for parents of infants. The nurse plans to discuss sudden infant death syndrome (SIDS). Which risk factors should the nurse include as increasing an infant's risk of a SIDS incident? (Select all that apply.)

Low Apgar scores Male sex Recent viral illness

A nurse is caring for a young adult. Which goal is priority?

Maintain family relationships.

Which goal is priority when the nurse is caring for a middle-aged adult?

Maintain future generation relationships.

The nurse is caring for a 14-year-old patient in the hospital. Which goal will be priority?

Maintain identity

A nurse is planning care for a 30 year old. Which goal is priority?

Master career plans.

The nurse is caring for an adolescent diagnosed with acute cocaine toxicity. Initial data collection should include what focus?

Mode of administration.

A parent asks the nurse whether her infant is susceptible to pertussis. The nurse's response should be based on which statement concerning susceptibility to pertussis?

Most children are highly susceptible from birth.

Which information from a co-worker on a gerontological unit will cause the nurse to intervene?

Most older people have dependent functioning.

Which information from the parent of an 8-month-old infant will cause the nurse to intervene?

My baby rides in the front-facing car seat when I go to the grocery store.

A nurse is developing a plan of care for an older adult. Which information will the nurse consider?

Needs to be individualized to the patient's unique needs

The clinic is lending a federally approved car seat to an infant's family. Where in the car should the nurse explain is the safest place to put the car seat?

Rear facing in back seat.

The mother of a breastfed infant being seen in the clinic for the sixth month checkup is concerned that the infant has begun thumb sucking. How should the nurse respond to the mother's concern?

Reassure the mother that this behavior is very normal at this age.

What is the major consideration when selecting toys for a child who is cognitively impaired?

Safety

A school nurse is encouraging children to play a game of kickball. Which group of children is the nurse most likely addressing?

School-aged

According to Piaget, the 6-month-old infant would be in what stage of the sensorimotor phase?

Secondary circular reactions

A nurse is comparing physical growth patterns between school-aged children and adolescents. Which principle should the nurse consider?

Secondary sex characteristics usually develop during the adolescent years.

Distortion of sound and problems in discrimination are characteristic of which type of hearing loss?

Sensorineural

Which is the most common congenital anomaly associated with Down syndrome?

Septal defects

An appropriate recommendation in preventing tooth decay in young children would include which intervention?

Serve sweets after a meal.

The nurse is caring for an infant. Which activity is most appropriate for the nurse to offer to the infant?

Set of plastic stacking rings

The nurse is observing a 2-year-old hospitalized patient in the playroom. Which activity will the nurse most likely observe?

Sitting beside another child while playing with blocks

The nurse is talking with a 10 year old who wears bilateral hearing aids. The left hearing aid is making an annoying whistling sound that the child cannot hear. What is the most appropriate nursing action to address this issue?

Suggest that the child reinsert the hearing aid.

An adolescent boy tells the nurse that he has recently had homosexual feelings. The nurse's response should be based on what knowledge?

The adolescent should be encouraged to share his feelings and experiences.

A parent asks the nurse why a developmental assessment is being conducted for a child during a routine well-child visit. The nurse answers based on what knowledge about such routine developmental assessments?

The best method for early detection of cognitive disorders.

Although a 14 month old received a shock from an electrical outlet recently, the parents find the child about to place a paper clip in another outlet. What is the best interpretation of this behavior?

This is typical behavior because of inability to transfer knowledge to new situations.

The nurse determines an infant of 7 months is demonstrating appropriate fine motor development when performing which action?

Transferring a rattler from one hand to the other.

A nurse is choosing an appropriate topic for a young-adult health fair. Which topic should the nurse include?

Unplanned pregnancies

Which characteristic best describes the gross motor skills of a 24-month-old child?

Walks up and down stairs

Which statement about toilet training is correct?

Wanting to please the parent helps motivate the child to use the toilet.

The parent brings a child to the clinic for a 12-month well visit. The child weighed 6 pounds 2 ounces and was 21 inches long at birth. Which finding will cause the nurse to intervene?

Weight of 16 pounds

Parent guidelines for relieving colic in an infant include:

changing the infant's position frequently.

Sara, age 4 months, was born at 35 weeks' gestation. She seems to be developing normally, but her parents are concerned because she is a "more difficult" baby than their other child, who was term. The nurse should explain that:

infants' temperaments are part of their unique characteristics.

The most appropriate response of the nurse when a mother asks what the Denver II does is that it

is a developmental screening tool.

The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it is used to assess for needs related to

anticipatory guidance.

A nurse is assessing temperaments of children. Which terms should the nurse use to describe findings? (Select all that apply.)

the easy kid The difficult child The slow-to-warm up child

A patient follows all the instructions a nurse provides because the patient wants to be perceived as a "good" patient. How should the nurse interpret this information according to moral development?

The patient is in conventional reasoning.

A 55-year-old female presents to the outpatient clinic describing irregular menstrual periods and hot flashes. Which information should the nurse share with the patient?

The patient's assessment points toward normal menopause.

Which factor is most important in predisposing toddlers to frequent infections such as otitis media, tonsillitis, and upper respiratory tract infections?

The presence of short, straight internal ear/throat structures and large tonsil/adenoid lymph tissue.

What is the rationale for the nurse recommends to parents that peanuts are not a good snack food for toddlers?

They can be easily aspirated.

A patient asks the nurse what the term polypharmacy means. Which information should the nurse share with the patient?

This is concurrent use of many medications.

Matt, aged 14 years, seems to be always eating, although his weight is appropriate for his height. What is the best explanation for this situation?

This is normal because of increase in body mass.

The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant's stool. The nurse bases her explanation on what fact?

This is normal because of the immaturity of digestive processes at this age.

A parent of an 18 month old tells the nurse that the child says "no" to everything and has rapid mood swings. If scolded, the child shows anger and then immediately wants to be held. What is the nurse's best interpretation of this behavior?

This is normal behavior for the child's age.

Two toddlers are playing in a sandbox when one child suddenly grabs a toy from the other child. What is the best interpretation of this behavior?

This is typical behavior because toddlers are egocentric.

A 14-year-old boy and his parents are concerned about bilateral breast enlargement. The nurse's discussion of their concerns should be based on what understanding?

This is usually a benign and temporary condition.

Generally what is the earliest age at which puberty begins?

10 years in girls, 12 years in boys

The nurse should teach parents that at what age it is safe to give infants whole milk instead of commercial infant formula?

12 months

The mean age of menarche in the United States is:

12.5 years.

By what age should concerns about pubertal delay be considered in boys?

13.5-14 years

The nurse assessing a 6-month-old healthy infant who weighed 7 lbs at birth, shares with the parents that the infant should weigh approximately how many pounds?

15 lbs.

At what age should the nurse expect an infant to begin smiling in response to pleasurable stimuli?

2 months

Parents have been using a rearward-facing, convertible car seat since their baby was born. The parents should be taught that most car seats can be safely switched to the forward-facing position when the child reaches which age?

2 years

A nurse is teaching a health promotion class for older adults. In which order will the nurse list the most common to least common conditions that can lead to death in older adults? Chronic obstructive lung disease Cerebrovascular accidents Heart disease Cancer

3, 4, 1, 2

When is the best age for solid food to be introduced into the infant's diet?

4 to 6 months

Developmentally, most children at age 12 months demonstrate what behavior?

Eat the same food as the rest of the family.

What is the leading cause of death during the toddler period?

Injuries

What is the most common cause of death in the adolescent age-group?

Motor vehicles

The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the expected stage of development for a preschooler is

preoperational.

The parent of a 16 month old asks, "What is the best way to keep our toddler from getting into our medicines at home?" The nurse should provide which advice?

"All medicines should be locked securely away."

A nurse is teaching the staff about development. Which information indicates the nurse needs to follow up?

"Development proceeds at a slower rate during the embryonic stage."

Which action should the nurse take when teaching a 5-year-old patient about a scheduled surgery?

Allow the child to touch and hold medical equipment such as thermometers.

A formerly independent older adult becomes severely withdrawn upon admission to a nursing home. Which action should the nurse take first?

Allow the patient to incorporate personal belongings into the room.

What are the psychosocial developmental tasks of toddlerhood?

Ability to withstand delayed gratification.

A nurse is teaching a class about the effects of nutrition on fetal growth and development. A pregnant patient asks the nurse how much weight should normally be gained over the pregnancy. Which information should the nurse share with the patient?

About 25 to 35 pounds

A nurse is caring for an older adult. Which goal is priority?

Adjusting to retirement

A nurse is caring for a young adult after surgery. Which action by the nurse will be priority?

Allow involvement of partner

A parent asks the nurse "At what age do most babies begin to fear strangers?" The nurse responds that most infants begin to fear strangers at what age?

6 months

By what age does the posterior fontanel usually close?

6 to 8 weeks

The nurse is preparing to teach a group of parents with infants about growth and development. Which information should the nurse include in the teaching session?

6-month-old infants will be able to turn from back to abdomen.

At which age can most infants sit steadily unsupported?

8 months

By what age should the nurse expect that an infant will be able to pull to a standing position?

9 months

A nurse is assessing a newborn that was just born. Which newborn finding will cause the nurse to intervene immediately?

A lack of reflexes

A 70-year-old patient who suffers from worsening dementia is no longer able to live alone. The nurse is discussing health care services and possible long-term living arrangements with the patient's only son. What will the nurse suggest?

A nursing center because home care is no longer safe

Which toy is the most developmentally appropriate for an 18- to 24-month-old child?

A push-pull toy

Which behavior indicates that an infant has developed object permanence?

Actively searches for a hidden object

A nurse is working in the delivery room. Which action is priority immediately after birth?

Open the airway.

Which predisposes the adolescent to feel an increased need for sleep?

Rapid physical growth

A nurse is teaching young adults about health risks. Which statement from a young adult indicates a correct understanding of the teaching?

"Controlling the amount of stress in my life may decrease the risk of illness."

A nurse teaches a new mother about the associated health risks to the infant. Which statement by the mother indicates a correct understanding of the teaching?

"I need to remind friends who want to hold my baby to wash their hands."

Which statement, if made by a parent, will require further instruction from the nurse?

"I should cover for my 10-year-old son when he makes mistakes until he learns the ropes."

Which patient statement is the most reliable indicator that an older adult has the correct understanding of health promotion activities?

"I still keep my dentist appointments even though I have partials now."

An outcome for an older-adult patient living alone is to be free from falls. Which statement indicates the patient correctly understands the teaching on safety concerns?

"I'll take my time getting up from the bed or chair."

A nurse discusses the risks of repeated sun exposure with a young-adult patient. Which response will the nurse most expect from this patient?

"I've had this mole my whole life. So what if it changed color? My skin is fine."

The mother of an 18-month-old child is concerned because the child's appetite has decreased. Which is the best response for the nurse to make to the mother?

"It is not unusual for toddlers to eat less during this developmental stage."

A mother expresses concern because her 5-year-old child frequently talks about friends who don't exist. What is the nurse's best response to this mother's concern?

"It's very normal for a child this age to have imaginary playmates."

Which comment indicates that the mother of a toddler needs further teaching about dental care?

"My child will not need a dental checkup until his permanent teeth come in."

The nurse is teaching a parent about developmental needs of a 9-month-old infant. Which statement from the parent indicates a correct understanding of the teaching?

"My child will probably enjoy playing peek-a-boo."

The parents of a newborn say that their toddler "hates the baby and suggested that we put the baby in the trash can so the trash truck could take him away." What is the nurse's best response to the parent's concern?

"That is a normal response to the birth of a sibling. Let's look at ways to deal with this."

A nurse is providing a parent information regarding autism spectrum disorder (ASD). Which statement made by the parent indicates understanding of the teaching?

"The onset of autism usually occurs before toddler stage."

The nurse is teaching a parenting class. One of the topics is development. Which statement from a parent indicates more teaching is needed?

"The school-aged child still needs total assistance in all safety activities."

The parent of a 2 week old asks the nurse if the infant needs fluoride supplements because they plan to exclusively breastfed. What is the nurse's best response?

"Your infant may need to begin taking them at age 6 months."

The parents of a 3-month-old infant report that their infant sleeps supine (face up) but is often prone (face down) while awake. The nurse's response should be based on what knowledge?

Acceptable to encourage head control and turning over.

A home health nurse is providing care to a middle-aged couple with children at home. The patient has a debilitating chronic illness. Which areas will the nurse need to assess? (Select all that apply.)

Adherence to treatment and rehabilitation regimens Coping mechanisms of patient and family Need for community services or referrals

Which interventions should the nurse implement when caring for a family of a sudden infant death syndrome (SIDS) infant? (Select all that apply.)

Allow parents to say goodbye to their infant. Arrange for someone to take the parents home from the hospital. Conduct a debriefing session with the parents before they leave the hospital.

A 14 years old, mentions that he now has to use deodorant but never had to before. The nurse's response should be based on what knowledge?

Apocrine sweat glands reach secretory capacity during puberty.

A nurse is developing a plan of care concerning growth and development for a hospitalized adolescent. What should the nurse do? (Select all that apply.)

Apply developmental theories when making observations of the adolescent's patterns of growth and development. Compare the adolescent's assessment findings versus normal findings. Recognize her own (the nurse's) moral developmental level.

The school nurse is caring. What emergency treatment is appropriate for a child with a penetrating eye injury?

Applying a Fox shield to the affected eye and any type of patch to the other eye.

When should a child diagnosed with cognitive impairment be referred for stimulation and educational programs?

As young as possible.

A nurse is teaching a group of older-adult patients. Which teaching strategy is best for the nurse to use?

Ask patients to recall past experiences that correspond with their interests.

During a routine physical assessment, the nurse obtaining a health history notes that a 50- year-old female patient reports pain and redness in the right breast. Which action is best for the nurse to take in response to this finding?

Assess the patient as thoroughly as possible.

Which statement accurately describes an event associated with an infant's physical development?

Birth weight doubles by age 5 months and triples by age 1 year.

The nurse is caring for a hospitalized young-adult male who works as a dishwasher at a local restaurant. He states that he would like to get a better job but has no education. How can the nurse best assist this patient psychosocially

By providing information and referrals

A nurse determines that a middle-aged patient is a typical example of the "sandwich generation." What did the nurse discover the patient is caught between?

Caring for children and aging parents

Which term refers to opacity of the crystalline lens that prevents light rays from entering the eye and refracting on the retina?

Cataract

The nurse is discussing with a parent group the importance of fluoride for healthy teeth. What recommendation should the nurse make to the parents?

Determine whether water supply is fluoridated.

A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant. What should the nurse recommend to be used as substitute for the breastmilk?

Commercial iron-fortified formula

A nurse is preparing to perform a dressing change on a 6-year-old child with mild cognitive impairment (CI) who sustained a minor burn. Which strategy should the nurse use to prepare the child for this procedure?

Demonstrate a dressing change on a doll.

A nurse is assessing a 17-year-old adolescent's cognitive development. Which behavior indicates the adolescent has reached formal operations?

Discusses the topic of justice in society

A newborn assessment shows separated sagittal suture, oblique palpebral fissures, depressed nasal bridge, protruding tongue, and transverse palmar creases. These findings are most suggestive of:

Down syndrome.

Which consideration should be considered when planning care for an infant diagnosed with failure to thrive?

Establishing a structured routine and follow it consistently.

What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?

Explain that it is important for the family to visit the center and inspect it personally.

A nurse is caring for a preschooler. Which fear should the nurse most plan to minimize?

Fear of bodily harm

A nurse is using Jean Piaget's developmental theory to focus on cognitive development. Which area will the nurse assess in this patient?

Formal operations

Which information could be given to the parents of a 12-month-old child regarding appropriate play activities for this age?

Give large push-pull toys for kinesthetic stimulation.

The parents of a 12-month-old child ask the nurse if the child can eat hot dogs. The nurse's reply should be based on what understanding?

Hot dogs must be cut into small, irregular pieces to prevent aspiration.

The parents of a 2 year old tell the nurse that they are concerned because the toddler has started to use "baby talk" since the arrival of their new baby. The nurse should recommend which intervention for the parents?

Ignore the "baby talk."

Which should the nurse expect for a toddler's language development at age 18 months?

Increasing level of comprehension

A father calls the emergency department nurse saying that his child's eyes burn after getting some dishwasher detergent in them. What should the nurse recommend before the child is transported to the emergency department?

Irrigate eyes copiously with tap water for 20 minutes.

A nurse is assessing a middle-aged patient's barriers to change in eating habits. Which areas will the nurse assess that are external barriers? (Select all that apply.)

Lack of facilities Lack of materials Lack of social supports

A nurse is using the proximodistal pattern to assess an infant's growth and development as normal. Which assessment finding will the nurse determine as normal

Lifts head before grasps

A child with autism spectrum disorder (ASD) is admitted to the hospital with pneumonia. The nurse should plan which priority intervention when caring for the child?

Maintain a structured routine and keep stimulation to a minimum.

What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?

Make a follow-up home visit to parents as soon as possible after the infant's death.

A nurse is helping an older-adult patient with instrumental activities of daily living. The nurse will be assisting the patient with which activity?

Making a phone call

The parents of a 4-month-old infant tell the nurse that they are getting a microwave oven and will be able to heat the baby's formula faster. What recommendations should the nurse provide the parents?

Never heat a bottle in a microwave oven.

A 3-month-old infant, born at 38 weeks of gestation, will hold a rattle if it is put in her hands; however, she will not voluntarily grasp it. How should the nurse interpret this behavior?

Normal development

What intervention should the nurse implement when noting gross bleeding in a child's eye after being hit in the eye?

Notify parents that adolescent needs to see an ophthalmologist.

What is the most effective way to clean a toddler's teeth?

Parent to stabilize the chin with one hand and brush with the other.

A nurse is providing prenatal care to a first-time mother. Which information will the nurse share with the patient? (Select all that apply.)

Protection against urinary infection Exercise patterns Proper diet

A nurse is discussing sexuality with an older adult. Which action will the nurse take?

Provide information about the prevention of sexually transmitted infections.

With the goal of preventing plagiocephaly, the nurse should teach new parents to consider which intervention?

Place the infant prone for 30 to 60 minutes per day.

Which is an appropriate play activity for a 7-month-old infant to encourage visual stimulation?

Playing peek-a-boo.

Which statement best describes Tanner staging

Predictable stages of puberty that are based on primary and secondary sexual characteristics.

A nurse is assessing the risk of intimate partner violence (IPV) for patients. Which population should the nurse focus on most for IVP

Pregnant females

In terms of gross motor development, what would the nurse educate the parents to expect a 5-month-old infant to do? (Select all that apply.)

Roll from abdomen to back. Put feet in mouth when supine.

An older patient has fallen and suffered a hip fracture. As a consequence, the patient's family is concerned about the patient's ability to care for self, especially during this convalescence. What should the nurse do?

Provide information and answer questions as family members make choices among careoptions.

Which intervention is focused on facilitating socialization of the cognitively impaired child?

Provide peer experiences such as Special Olympics when older.

A young-adult patient is brought to the hospital by police after crashing the car in a high- speed chase when trying to avoid arrest for spousal abuse. Which action should the nurse take

Question the patient about drug use.

Which statement describes a toddler's cognitive development at age 20 months?

Realizes that "out of sight" is not out of reach.

A parent asks the nurse about how to respond to negativism in toddlers. What is the most appropriate recommendation?

Reduce the opportunities for a "no" answer.

How may anorexia nervosa best be described?

Resulting in severe weight loss in the absence of obvious physical causes.

A nurse's goal for an older adult is to reduce the risk of adverse medication effects. Which action will the nurse take?

Review the patient's list of medications at each visit.

father tells the nurse that his toddler wants the same plate and cup used at every meal, even if they go to a restaurant. The nurse should explain that this is a result of what factor?

Ritualism, common at this age.

In terms of gross motor development, what hallmark action should the nurse identify for the parents of a 5-month-old infant to anticipate?

Roll from abdomen to back.

A nurse is assessing an older adult for cognitive changes. Which symptom will the nurse report as normal?

Slower reaction time

A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation. Which psychosocial change does the nurse focus on as a priority?

Social isolation

Which action best facilitates lipreading by the hearing-impaired child?

Speaking at an even rate

A nurse performs an assessment on a healthy newborn. Which assessment finding will the nurse document as normal?

Sporadic motor movements

A nurse is teaching a parenting class for families with adolescents. Which health concerns will the nurse include in the teaching session? (Select all that apply.)

Suicide Eating disorders Violence/Homicide Sexually transmitted infections

An older-adult patient has developed acute confusion. The patient has been on tranquilizers for the past week. The patient's vital signs are normal. What should the nurse do?

Take into account age-related changes in body systems that affect pharmacokinetic activity.

A nurse takes the history of a middle-aged patient in a health clinic. Which information indicates the patient has achieved generativity?

Teaches preschoolers

A male older-adult patient expresses concern and anxiety about decreased penile firmness during an erection. What is the nurse's best response?

Tell the patient that this change is expected in aging adults.

The nurse is planning care for a 17-month-old child. According to Piaget, in what stage would the nurse expect the child to be?

Tertiary circular reaction

A nurse is assessing the cognitive changes in a preschooler. Which standard will the nurse use to determine normal?

The ability to classify objects by size or color

A nurse is caring for a 4-year-old patient. Which object will the nurse allow the child to play with safely to foster cognitive development?

The blood pressure cuff

A nurse is assessing an 18-month-old toddler. The nurse distinguishes normal from abnormal findings by remembering Gesell's theory of development. Which information will the nurse consider?

The cephalocaudal pattern describes the sequence in which growth is fastest at the top.

What should the nurse keep in mind when planning to communicate with a child who is diagnosed with an autism spectrum disorder (ASD)?

The child may exhibit monotone speech and echolalia.

A nurse is working with a patient who wants needs to be met and is impatient and demanding when these needs are not met immediateNlyU.RHSoINwGsThBo.CulOdMthe nurse interpret this finding according to Freud?

The id is functioning.

In the clinic waiting room, a nurse observes a parent showing an 18-month-old child how to make a tower out of blocks. In this situation the nurse should recognize that fact about this task.

Toddlers are capable of building a tower of blocks.

The weight loss of anorexia nervosa is often triggered by what event?

Traumatic interpersonal conflict

The nurse is interviewing the father of 10-month-old. When the child, playing on the floor and notices an electrical outlet and reaches up to touch it, the father says "No" firmly and removes the child away from the outlet. The nurse should use this opportunity to teach the father that the child is capable of understanding what association?

Understand the word "No."

What information should a nurse provide a mother who is concerned about preventing sleep problems in her 2-year-old child?

Use a night-light in the child's room.

Which assessment finding of a school-aged patient should alert the nurse to a possible developmental delay?

Verbalization of "I have no friends"

Which statement is most descriptive of bulimia during adolescence?

Weight that can be normal, slightly above normal, or below normal

When caring for a middle-aged adult exhibiting maladaptive coping skills, the nurse is trying to determine the cause of the patient's behavior. Which information from a growth and development perspective should the nurse consider when planning care?

When individuals experience repeated developmental failures, inadequacies sometimes result.

A nurse is planning care for young-adult patients. Which information should the nurse consider when planning care?

Young adults are quite active but are at risk for illness in later years.

The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed. This should be interpreted as:

a normal finding.

A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. The nurse should explain that:

a topical anesthetic, eutectic mixture of local anesthetic (EMLA), will minimize the discomfort.

A 16 months old, falls down a few stairs and then gets up and "scolds" the stairs as if they caused the fall. This is an example of which of the following?

a. Animism

A child with autism is hospitalized with asthma. The nurse should plan care so that the:

child's routine habits and preferences are maintained.

An implanted ear prosthesis for children with sensorineural hearing loss is a(n):

cochlear implant.

A nurse would suspect possible visual impairment in a child who displays:

excessive rubbing of the eyes.

A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to her toys and makes up stories. The mother wants her child to have a psychological evaluation. The nurse's best initial response is to

explain that playing make believe is normal at this age.

To plan early intervention and care for a child with a developmental delay, the nurse would consider knowledge of the concepts most significantly impacted by development, including

functional status.

To plan early intervention and care for an infant with Down syndrome, the nurse considers knowledge of other physical development exemplars such as

hydrocephaly.

The school nurse talking with a high school class about the difference between growth and development would best describe growth as

quantitative changes in size or weight.

A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so needy and acting like a child. The best response of the nurse is that in the hospital, adolescents

regress because of stress.

The parents of a 14 year old express concerns about the number of hours their child spends with friends. The nurse explains that peer relationships become more important during adolescence because:

they provide adolescents with a feeling of belonging.